How to treat cervical precancerous lesions so that they do not recur

Benign or malignant tumors of the uterus and cervix rarely cause uterine difficulties and rarely interfere with the physiological process of sexual excitement. A small number of uterine leiomyomas cause sexual problems mainly due to their anatomical location and size. Let's talk about how to treat cervical precancerous lesions so that they will not recur?

Benign tumors can also produce symptoms due to mechanical compression, degeneration or torsion. Endometrial polyps, endocervical polyps or cervical polyps rarely cause sexual dysfunction. Cervical cancer is the second most common malignant tumor in women (after breast cancer), and many literatures have made extensive and in-depth discussions on this disease. The disease rarely occurs in women who have never had sex, and early marriage and early childbearing seem to have an epidemiological relationship with the incidence of this disease.

A detailed discussion of the history, staging, pathological features, and treatment of cervical cancer is beyond the scope of this chapter. However, it should be mentioned that radiation therapy and surgery are commonly used in treatment (sometimes both are used together). When the tumor involves the bladder or rectum, radical pelvic surgery, total pelvic organ resection, and anterior pelvic organ resection (removal of all other pelvic organs, including the bladder and vagina, except for the rectum) are sometimes used. It is impossible to maintain sexual function after surgery. Even if a less extensive surgery is used, it will have a significant impact on sexual function due to changes in the sexual organs.

Wertheim's hysterectomy removes the upper third of the vagina together with the uterus, which greatly reduces the length of the vagina, and the elasticity of the vagina is further reduced due to scarring. At this time, the resumption of sexual life must be cautious, but delaying the resumption of sexual life for too long after surgery may increase the occurrence of fibrosis. After radiotherapy and surgical treatment of cervical cancer, the fear that follows may be a major factor in sexual disorders. In some cases, there may be fear of cancer recurrence; for men, there is fear of harming his wife, and in some rare cases, there is fear of contracting cancer himself. Other psychological reactions may also limit interest and response to sexual activities. Therefore, for every cancer patient, a detailed understanding of the sexual history before treatment is useful for providing correct guidance.